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Procedure: Work health and safety management review


This procedure describes how the Australian National University (ANU) reviews the management systems for the work health and safety, rehabilitation and claims management systems (WHS). This procedure meets compliance requirements of the Work Health and Safety Act 2011 (Cth), the Work Health and Safety Regulations 2011 (Cth), the Safety and Rehabilitation Compensation Act 1998 (Cth), the National Self Insurer Work Audit Tools (NAT) for rehabilitation and WHS, and the Australian Radiation Protection and Nuclear Safety Act 1998 (Cth). This procedure is linked to the University’s Work Health and Safety Policy and is one of the WHS Management System Procedures.


Action refers to a specific action raised in response to an identified non-conformance.

Annual WHS Report is a report produced annually and approved by the Chief Operating Officer (COO). It is a collective summary of all the key WHS performance indicators (KPIs), programs and projects previously identified, to improve WHS performance at the University for the previous calendar year.

Audit is a systematic and independent process for obtaining evidence and evaluating it objectively to determine the extent to which the audit criteria are fulfilled.

Hazards are defined as “a source or a situation with a potential for harm in terms of human injury or ill-health, damage to property, damage to environment, or a combination of these.”, according to the Australian Standards/New Zealand Standards (AS/NZS) 4801:2001.

Local area refers to the College, Research School or Service Division.

Non-conformance is the non-fulfilment of specified requirements.

Risk refers to any potential injury or harm and is the likelihood and consequence of injury or harm occurring according to the AS/NZS, 4801:2001.

Work Health and Safety Management System (WHSMS) refers to the overall management system which includes the organisational structure, governance structure, planning activities, responsibilities, practices, procedures, processes and resources for developing, implementing, achieving, reviewing and maintaining the system. The WHS Policy, Rehabilitation Policy and Fitness for Work Policy, all of the WHS documents linked to these policies and the electronic systems that support them make up the system, thus managing the hazards and risks associated with managing the business of the University.

Workplace Health and Safety Objectives and Key Performance Indicators (KPIs) refer to the overall goals in terms of WHS performance set in the annual WHS plan.



  1. This procedure applies to all meetings where WHS management system elements are reviewed, discussed and consulted on at the University.

Approved University WHS Governance Structure

  1. The diagram of the approved University WHS Governance Structure can be found here.

WHS management review meetings

  1. Members of senior leadership at the University meet at various forums to review the WHS management system effectiveness including:
  • Council meetings in which WHS is a standing agenda item;
  • the Council meeting in which the Annual WHS Report is reviewed in detail as an agenda item;
  • University WHS Committee meetings;
  • Local WHS Committee Meetings;
  • Advisory Groups to the University WHS Committee;
  • University Executive meetings;
  • Senior Management Group meetings;
  • Service Division Directors and General Managers meetings; and
  • College Executive meetings.

Management review

  1. The Associate Director, Work Environment Group (AD WEG) is responsible for providing WHS reports as well as the Annual WHS Report to the Director, Human Resources for endorsement.
  2. The Chief Operating Officer (COO) sponsors the endorsed WHS reports and the Annual WHS Report for Council meetings.
  3. Council reviews all WHS reports, approves the reports and directs/advises (as appropriate) the University Executive of any recommended courses of action. This allows for visibility of the University’s WHS performance, including trends and issues. Items included in the WHS reports are Workplace Health and Safety Objectives and Key Performance Indicators (KPIs) such as:
  • legislative and other changes;
  • notifiable incidents;
  • objectives, KPIs and other safety metrics;
  • incidents, near miss and hazard reports;
  • claims and rehabilitation reports;
  • audit results and controls; and
  • any outstanding action items.
  1. In addition to the above items included in the WHS reports, the Annual WHS Report also includes:
  • WHS management system results;
  • changing circumstances that could affect the WHS structure or activities;
  • opportunities for continuous improvement;
  • requirements for resources, including training needs; and
  • a list of the University top WHS risks.

University WHS committees and advisory groups

  1. The University WHS Committee meets every quarter. Meetings are organised by a secretariat. COO is the Chair of the committee and the members are the Chairs of their respective local WHS committees. The local WHS committees are identified in the approved governance structure for the University.
  2. The University WHS Committee will receive a quarterly WHS report from each WHS committee and advisory group. The Chair of each committee and advisory group is responsible for providing the quarterly WHS reports to the University WHS Committee. Each local WHS Report will reflect the specific WHS performance for the local area.
  3. Each committee and advisory group Chair is responsible for ensuring the WHS reports are communicated, in accordance with the University Privacy Policy, to local area staff as well as discussed at the local WHS meetings.
  4. Standard agenda items for each WHS committee and advisory group can be found in each Charter.

University speciality advisory groups

  1. Each of the specialty advisory groups identified in the approved governance structure should provide an annual report to the University WHS Committee prior to the Annual WHS Report being completed. It is the responsibility of the Chairperson of those specialty advisory groups to ensure their annual report is delivered.
  2. COO will provide direction to each of the advisory groups following Council’s review of the Annual WHS Report and discuss any WHS recommendations which may apply to the specialty function of each advisory group.
  3. Each of the advisory groups should review the Annual WHS Report as an agenda item, add any applicable actions from COO or Council to the respective corrective actions list and develop an action plan for the current year.

Training and competency

  1. There are no training or competency requirements for implementing WHS management reviews.


Legal and other requirements

Work Health and Safety Act 2011 (Cth)

Work Health and Safety Regulations 2011 (Cth)

Safety, Rehabilitation and Compensation Act 1988 (Cth)

AS/NZ 4801:2001 Safety Management Systems

ASNZ ISO 31000:2009 Risk Management: Principles and Guidelines


Printable version (PDF)
Title Work health and safety management review
Document Type Procedure
Document Number ANUP_015815
Version 2
Purpose This procedure describes how the Australian National University (ANU) reviews the management systems for the work health and safety, rehabilitation and claims management systems (WHS).
Audience Staff
Category Administrative
Topic/ SubTopic Health, Safety & Environment - Occupational Health & Safety
Effective Date 1 Jul 2017
Review Date 1 Jul 2020
Responsible Officer Director, Human Resources
Approved By: Chief Operating Officer
Contact Area Human Resources Division
Authority Work Health & Safety Act 2011
Work Health and Safety Regulations 2011